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These high risk wisdom teeth can be further assessed using cone beam CT imaging to assess and plan surgery to minimise nerve injury by careful extraction or undertaking a coronectomy procedure in healthy patients with healthy teeth. [9] The risk of nerve injury in relation to mandibular dental implants is not known but it is a recognised risk ...
The inferior alveolar nerve (IAN), a branch of the trigeminal nerve (cranial nerve V), is a nerve that runs through the mandible (lower jaw) and supplies sensation to all the lower teeth, the lip and the chin. The lower teeth, and in particular the lower wisdom teeth, can therefore be in close proximity to this nerve.
When extracting lower wisdom teeth, coronectomy is a treatment option involving removing the crown of the lower wisdom tooth, whilst keeping the roots in place in healthy patients. This option is given to patients as an alternative to extraction when the wisdom teeth are in close association with the inferior alveolar nerve , and so used to ...
Infiltration analgesia is deposition of an analgesic (pain-relieving) drug close to the apex of a tooth so that it can diffuse to reach the nerve entering the apical foramina. [1] It is the most routinely used in dental local treatment.
It branches from the infraorbital nerve within the infraorbital canal [1] [2] at around the midpoint of this canal and enters the canalis sinuosus.It passes through towards the nose before passing inferior-ward and ramifying [2] into branches which innervate the upper/maxillary incisor and canine teeth; [1] [2] it usually innervates all the anterior teeth.
The tooth is then washed and dried, and the protective material placed, followed finally by a dental restoration which gives a bacteria-tight seal to prevent infection. [ 4 ] Since pulp capping is not always successful in maintaining the vitality of the pulp, the dentist will usually keep the status of the tooth under review for about a year ...
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The management depends on the type of injury involved and whether it is a baby or an adult tooth. If teeth are completely knocked out baby front teeth should not be replaced. The area should be cleaned gently and the child brought to see a dentist. Adult front teeth (which usually erupt at around six years of age) can be replaced immediately if ...